Careers

Medical Billing Specialist

Position Overview

Moore Support Services is seeking an experienced Medical Billing Specialist to support the revenue cycle needs of our healthcare clients.

The Medical Billing Specialist will be responsible for accurate claim submission, payment review, denial follow-up, accounts receivable management, and resolution of billing issues. The ideal candidate understands the full medical billing cycle and is committed to accuracy, productivity, compliance, and excellent client service.

Key Responsibilities

• Review and submit clean medical claims to insurance carriers
• Verify patient, provider, insurance, coding, and claim information before submission
• Correct claim rejections and resubmit claims promptly
• Review electronic remittance advice and explanation of benefits information
• Post or validate insurance payments, patient payments, contractual adjustments, and denials
• Work insurance accounts receivable and follow up on unpaid or underpaid claims
• Research and resolve denials, rejections, coding edits, eligibility issues, authorization issues, and payer processing errors
• Contact insurance carriers regarding claim status and payment discrepancies
• Prepare and submit corrected claims, reconsiderations, and appeals
• Identify recurring denial trends and escalate operational concerns
• Review patient balances and ensure appropriate transfer of responsibility
• Maintain accurate account notes and documentation of all follow-up activity
• Meet established productivity, quality, and follow-up standards
• Communicate billing concerns and recommendations to management and client teams
• Protect patient information and comply with HIPAA and company policies

Preferred Qualifications

• Prior medical billing, insurance follow-up, or accounts receivable experience
• Knowledge of medical terminology, CPT, HCPCS, ICD-10-CM, modifiers, and claim forms
• Understanding of Medicare, Medicaid, commercial insurance, and secondary billing
• Experience resolving denials, rejections, underpayments, and aging accounts
• Strong attention to detail, time management, and problem-solving skills
• Ability to manage multiple accounts and deadlines
• Professional written and verbal communication skills
• Experience with practice management systems, clearinghouses, payer portals, and Microsoft Office
• CPC, CPB, or other billing or coding certification is preferred but not required

Compensation and Benefits

• Competitive compensation based on experience
• Healthcare benefits
• Retirement benefits
• Paid time off
• Paid holidays
• Performance-based incentive opportunities
• Opportunities for training and professional advancement

Director of Credentialing

Position Overview

Moore Support Services is seeking an experienced and highly organized Director of Credentialing to lead and expand our credentialing department.

This is a leadership position for a credentialing professional who can oversee departmental operations, manage staff, improve workflows, maintain regulatory and payer compliance, and support the continued growth of our credentialing services.

The Director of Credentialing will work closely with executive leadership and will have meaningful responsibility for departmental performance, client satisfaction, staff development, and long-term strategic growth.

Key Responsibilities

• Provide leadership and operational oversight for the credentialing department

• Manage, mentor, train, and evaluate credentialing staff

• Oversee initial credentialing, recredentialing, payer enrollment, demographic updates, and provider maintenance

• Monitor application status, effective dates, expirations, outstanding documentation, and payer follow-up

• Ensure credentialing trackers, databases, provider files, and client records are accurate and current

• Establish and enforce departmental workflows, quality controls, productivity expectations, and accountability standards

• Monitor credentialing turnaround times and resolve delays or escalated payer issues

• Communicate professionally with providers, clients, insurance carriers, government agencies, and internal leadership

• Oversee CAQH, PECOS, NPPES, Medicaid, Medicare, and commercial payer enrollment processes

• Support the onboarding and implementation of new credentialing clients

• Develop staffing plans and assist with recruiting and training credentialing personnel

• Prepare departmental reports, performance updates, and recommendations for executive leadership

• Identify opportunities to improve efficiency, technology utilization, profitability, and client retention

• Participate in the strategic growth and expansion of the credentialing division

Preferred Qualifications

• Extensive professional experience in healthcare credentialing and payer enrollment

• Prior leadership, supervisory, or departmental management experience

• Strong knowledge of Medicare, Medicaid, CAQH, PECOS, NPPES, and commercial payer credentialing

• Experience managing multiple providers, payer applications, clients, and deadlines simultaneously

• Excellent communication, organization, documentation, and problem-solving skills

• Ability to establish systems, manage priorities, and hold team members accountable

• Strong understanding of credentialing compliance, delegated processes, and payer requirements

• Proficiency with credentialing software, Microsoft Office, tracking systems, and electronic payer portals

• CPCS, CPMSM, or other credentialing-related certification is preferred but not required

Compensation and Benefits

• Competitive compensation based on experience

• Performance and growth-based incentive opportunities

• Healthcare benefits

• Retirement benefits

• Paid time off

• Paid holidays

• Professional development and advancement opportunities

• Meaningful leadership role in a growing company

Credentialing Specialist

Position Overview

Moore Support Services is seeking an experienced Credentialing Specialist to manage provider enrollment, recredentialing, payer applications, and ongoing credentialing maintenance for our healthcare clients.

The ideal candidate is detail-oriented, dependable, organized, and comfortable managing multiple providers and payer requirements. This position requires consistent follow-up, accurate documentation, and professional communication with clients, providers, insurance carriers, and government agencies.

Key Responsibilities

• Complete initial credentialing and recredentialing applications

• Submit Medicare, Medicaid, and commercial payer enrollment applications

• Maintain provider information in CAQH, PECOS, NPPES, and payer portals

• Complete provider demographic updates, reassignment applications, location additions, and group changes

• Track applications from submission through approval and effective date

• Follow up regularly with insurance carriers and government agencies

• Obtain and maintain licenses, certifications, malpractice coverage, education records, work history, and other required documentation

• Monitor provider expirations and notify clients of upcoming renewal requirements

• Maintain accurate credentialing trackers, provider files, status reports, and client documentation

• Research and resolve application delays, closed panels, payer discrepancies, and enrollment issues

• Communicate credentialing status and outstanding requirements to clients and providers

• Follow established departmental workflows, deadlines, and quality standards

• Assist with audits, payer rosters, directory validation, and credentialing maintenance projects

Preferred Qualifications

• Prior healthcare credentialing or provider enrollment experience

• Working knowledge of CAQH, PECOS, NPPES, Medicare, Medicaid, and commercial payers

• Strong attention to detail and ability to manage multiple deadlines

• Excellent written and verbal communication skills

• Ability to work independently while remaining accountable to departmental standards

• Strong research, follow-up, and problem-solving skills

• Proficiency with Microsoft Office, electronic payer portals, and credentialing databases

• CPCS, CPMSM, or related certification is helpful but not required

Compensation and Benefits

• Competitive compensation based on experience

• Healthcare benefits

• Retirement benefits

• Paid time off

• Paid holidays

• Performance-based incentive opportunities

• Training and advancement opportunities within a growing credentialing department

Director of Revenue Cycle Management

Position Overview

Moore Support Services is seeking an experienced Director of Medical Billing to provide leadership and operational oversight for our medical billing and revenue cycle management department.

This position is responsible for departmental performance, staff leadership, client satisfaction, accounts receivable outcomes, billing quality, and the implementation of effective revenue cycle processes.

The ideal candidate is an experienced revenue cycle leader who understands medical billing operations from charge entry through final account resolution and can successfully manage staff, client expectations, productivity, compliance, and departmental growth.

Key Responsibilities

• Provide leadership and operational oversight for the medical billing department

• Manage, mentor, train, and evaluate billing staff and account teams

• Establish productivity expectations, quality standards, workflows, and accountability measures

• Monitor claim submission, rejection rates, denial rates, payment posting, accounts receivable, and follow-up activity

• Review departmental and client key performance indicators

• Ensure claims are submitted accurately and within filing deadlines

• Oversee denial management, appeals, underpayment review, and aged accounts receivable

• Identify billing trends, operational weaknesses, payer issues, and revenue opportunities

• Develop corrective action plans when client or departmental performance falls below expectations

• Oversee the implementation and onboarding of new medical billing clients

• Coordinate workflows involving charge capture, claim submission, payment posting, insurance follow-up, and patient balances

• Communicate regularly with clients regarding financial performance, concerns, and recommended improvements

• Ensure compliance with HIPAA, payer policies, coding requirements, and company procedures

• Support staffing plans, recruiting, training, and departmental resource allocation

• Evaluate software, automation, outsourcing, and workflow improvement opportunities

• Prepare reports and strategic recommendations for executive leadership

• Assist with client retention, service expansion, and growth of the medical billing division

Preferred Qualifications

• Extensive experience in medical billing, revenue cycle management, or healthcare accounts receivable

• Prior leadership, supervisory, or departmental management experience

• Strong understanding of the complete revenue cycle, including claims, payments, denials, appeals, and collections

• Experience managing multiple clients, specialties, billing systems, and payer requirements

• Demonstrated ability to improve accounts receivable performance and reduce denials

• Strong analytical, organizational, leadership, and problem-solving skills

• Excellent client communication and staff management abilities

• Knowledge of Medicare, Medicaid, commercial insurance, coding, compliance, and payer policies

• Proficiency with practice management systems, clearinghouses, payer portals, reporting tools, and Microsoft Office

• CPC, CPB, CRCR, or other revenue cycle certification is preferred

Compensation and Benefits

• Competitive compensation based on experience and leadership qualifications

• Performance and growth-based incentive opportunities

• Healthcare benefits

• Retirement benefits

• Paid time off

• Paid holidays

• Professional development opportunities

• Significant leadership responsibility within a growing healthcare management company

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